Urination - painful
Painful urination describes any pain, discomfort, or burning sensation when passing urine.
Dysuria; Painful urination
Pain may be felt right where the urine passes out of the body. Or, it may be felt inside the body, behind the pubic bone, or in the bladder or prostate.
Pain on urination is a fairly common problem. People who have pain with urination also may have the urge to urinate more often
Painful urination is most often caused by an infection or inflammation somewhere in the urinary tract. For example it may be a:
Painful urination and women and girls may be due to:
Other causes of painful urination include:
Call your health care provider if
Call your health care provider if:
There is drainage or a discharge from your penis or vagina
You are pregnant and are having any painful urination
You have painful urination that lasts for more than 1 day
- You notice blood in your urine
- You have a fever
What to expect at your health care provider's office
Your health care provider will perform a physical examination and ask questions about your symptoms and medication history, such as:
- When did the painful urination begin?
- Does the pain occur only during urination?
- Does the pain stop after urination?
- Do you have back pain?
- What other symptoms do you have?
- Have you had a fever
higher than 100 degrees F?
- Is there drainage or discharge between urinations?
- Is there an abnormal urine odor?
- Are there any changes in the volume or frequency of urination?
- Do you feel the urge to urinate?
- Have you noticed blood in the urine
- Are there any rashes
in the genital area?
- What medications are you taking?
- Are you pregnant or could you be pregnant?
- Have you had a bladder infection?
- Do you have any allergies
to any medications?
- Have you had sexual intercourse with someone who has, or may have, gonorrhea or chlamydia?
- Has there been a recent change in your brand of soap, detergent, or fabric softener?
- Have you had surgery or radiation to your urinary or sexual organs?
A urinalysis will be done. A urine culture
may be ordered. If you have had a previous bladder or kidney infection, a more detailed history and physical are needed, and extra laboratory studies may be necessary. A pelvic exam and examination of vaginal fluids are necessary if a female has a vaginal discharge. Men who have discharge from the penis will need to have a urethral swab done.
Treatment depends on what is causing the pain.
David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc. Louis S. Liou, MD, PhD, Chief of Urology, Cambridge Health Alliance, Visiting Assistant Professor of Surgery, Harvard Medical School.